Schonfeld's criteria for fat embolism syndrome is a diagnostic tool designed to identify patients at risk of developing this potentially life-threatening complication. The target patient population includes those who have experienced trauma or surgical procedures, particularly those involving long bones or the pelvis, where fat emboli may enter the bloodstream.
The primary components of Schonfeld's criteria include the presence of petechiae, diffuse alveolar infiltrates on chest X-ray, arterial partial pressure of oxygen less than 70 mmHg, fever greater than 38 degrees Celsius, heart rate exceeding 120 beats per minute, and respiration rate over 30 breaths per minute. Each of these components contributes to the overall score, which aids in the diagnosis of fat embolism syndrome.
Reference
S A Schonfeld, Y Ploysongsang, R DiLisio et al. Fat embolism prophylaxis with corticosteroids. A prospective study in high-risk patients. Ann Intern Med. 1983 Oct;99(4):438-43.
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